# HCC Coding Tool

> Identifies CMS HCC risk adjustment ICD-10 codes for Medicare Part B billing. (iPhone/iPad app by ADIRA TECHNOLOGY, LLC.)

- Source: https://appshunter.io/ios/app/hcc-coding-tool/id1250524229 (this page in markdown: same URL + `.md`)
- Developer: [ADIRA TECHNOLOGY, LLC](https://appshunter.io/developer/1353227709)
- Category: Business
- Price: Free
- Rating: 4.70/5 from 3 App Store ratings · 1 written reviews indexed
- Age rating: 17+
- Requires: iOS 13.1 · 5 MB
- Languages: English
- Released: 2017-06-20
- Data updated: 2026-06-10
- Monetization: free
- User reviews in markdown: https://appshunter.io/ios/app/hcc-coding-tool/id1250524229/reviews.md

## What is HCC Coding Tool?

Why do you need HCC Coding Tool:

Beginning in 2018, physicians and other providers will have their future Medicare reimbursement adjusted by the results of Medicare efficiency measures, which are categorized as the Resource Use Measures in MIPS, the CMS Merit-based Incentive Payment System. Resource Use Measures look at the global (Medicare Parts A and B) cost of services (resources) used for the patients attributed to the physician, and compare the resources used on a risk-adjusted basis to norms determined by CMS. Examples of Resource Use Measures include Total Per Capita Cost, Medicare Spending Per Beneficiary, and new Episode of Care measures, most of which are specific to patients with identified conditions (for example, Ischemic Stroke or Osteoporosis) and specific services (for example, Coronary Artery Bypass Graft, Pacemaker, Hip Replacement/Repair). Physicians are being evaluated on the total cost associated with their patients, not just the costs that are directly attributed to a specific provider for these patients.

These measures include the Medicare HCC risk adjustment program, which uses a patient’s age, sex, and ICD10 diagnosis codes included on the medical claims to determine a risk score, which is a relative measure of how costly that individual is anticipated to be compared to all other Medicare enrollees. Patients seen by a physician can differ in their expected cost, and/or risk, because of differences in their health status. The intent of risk adjustment is to allow a physician that sees a higher proportion of high-risk patients (i.e my patients are sicker) credit for higher costs, and going forward under MIPS, to be paid more for their services compared to their peers providing similar services. This is Medicare’s shift for Part B payments from volume to a focus on quality, efficiency, and value.

About 8,000 of the approximately 50,000 ICD10 diagnosis codes are utilized in the CMS HCC risk adjusting model. Only when a CMS - ICD10 code is utilized in a claim will risk adjusting happen. HCC Tools provides physicians, their staffs, and all providers billing Medicare Part B with a quick and easy way to identify this subset of the ICD10 diagnosis code system used by CMS, and appropriately include these codes in their billing to CMS.

## Key features

- Identify CMS HCC risk adjustment codes
- Supports Medicare Part B billing
- Quick and easy code identification
- Focuses on ICD-10 diagnosis codes
- Helps with Medicare efficiency measures

## Recent user reviews (1 of 1)

All indexed reviews: https://appshunter.io/ios/app/hcc-coding-tool/id1250524229/reviews.md

### 5/5 — Love this app

*2020-01-05, version 3.0*

One of the best HCC tools I have found! Thank you designer :)

## Frequently asked questions about HCC Coding Tool

### What is the HCC Coding Tool used for?

The HCC Coding Tool helps healthcare providers identify specific ICD-10 diagnosis codes that are utilized in the CMS HCC risk adjusting model. This ensures accurate billing for Medicare Part B services and proper risk adjustment for patient populations.

### Who is the HCC Coding Tool designed for?

This tool is designed for physicians, their administrative staff, and all providers who bill Medicare Part B. It's essential for those who need to navigate the complexities of Medicare reimbursement and risk adjustment.

### How does the HCC Coding Tool help with Medicare reimbursement?

By identifying the subset of ICD-10 codes used by CMS for risk adjustment, the tool enables providers to appropriately include these codes in their billing. This can lead to appropriate credit for higher-risk patients and better reimbursement under systems like MIPS.

### What is the CMS HCC risk adjustment program?

The CMS HCC risk adjustment program uses a patient's age, sex, and ICD-10 diagnosis codes from medical claims to determine a risk score. This score is a relative measure of how costly an individual is anticipated to be compared to other Medicare enrollees.

### Is the HCC Coding Tool available on multiple devices?

The HCC Coding Tool is available for iPhone, iPad, and iPod devices. It is designed to be accessible on Apple's mobile operating systems.

### When was the HCC Coding Tool last updated?

The HCC Coding Tool was last updated on May 3, 2020, with version 3.1. This indicates it has been maintained to reflect relevant coding and billing information.

### What is the age rating for the HCC Coding Tool?

The HCC Coding Tool has an age rating of 17+. This is likely due to the professional and technical nature of the medical coding information it provides.

### Does the HCC Coding Tool have ads?

The provided data does not specify whether the HCC Coding Tool contains advertisements. However, it is listed as free with no in-app purchases, suggesting a focus on utility rather than ad revenue.

## Version history (last 1 release)

### 3.1 — 2020-05-03

HCC codes have been updated to 2020 values.

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*Data collected daily from the US App Store and indexed by [AppsHunter](https://appshunter.io/). User reviews are verbatim App Store reviews. Ratings, prices and chart positions refresh continuously; this snapshot is from 2026-06-10.*